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Determinants of Allogeneic Transfusion Among Patients Who had an Autologous Blood Procedure, France

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Abstract

Autologous transfusion techniques have been proposed to decrease viral contamination related to allogeneic transfusion. Epidemiological studies looking at the actual effect of such policy are scarce. The aim of this study was to assess factors associated to the transfusion of additional allogeneic units among autologous blood recipients in France. We used a subgroup of data of RECEPT, a representative study of transfusion in French hospitals, and described blood recipients and components during the first 24 hours following a transfusion in 175 teaching and non teaching hospitals. We analysed data regarding patients included in the original study, who received autologous blood transfusion (376 patients). Almost one fifth of patients transfused with autologous blood was exposed to additional allogeneic transfusion. Patients undergoing cardiovascular surgery and who were transfused with blood salvage received allogeneic transfusion more frequently than patients undergoing orthopaedic surgery. Further implication of epidemiologists in studies of transfusion or other health technologies could help better formulate policies purported at decreasing risks.

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References

  1. Goodnough LT, Shafron D, Marcus RE. The impact of preoperative autologous blood donation on orthopedic surgical practice. Vox Sang 1990; 59: 65-69.

    PubMed  Google Scholar 

  2. Toy PT, Kaplan EB, PcVay PA, Lee SJ, Strauss RG, Stehling LC. Blood loss and replacement in total hip arthroplastie: A multicenter study. The Preoperative Autologous Blood Donation Study Group. Transfusion 1992; 32: 63-67.

    PubMed  Google Scholar 

  3. Stehling LC, Zauler HL. Acute normovolemic hemodilution. Transfusion 1991; 31: 857-868.

    PubMed  Google Scholar 

  4. Scott WJ, Kessler R, Wernly JA. Blood conservation in cardiac surgery. Ann Thorac Surg 1990; 50: 843-851.

    PubMed  Google Scholar 

  5. Goodnough LT. Clinical application of recombinant erythropoietin in the perioperative period. Hematol Oncol Clin North Am 1994; 8: 1011-1020.

    PubMed  Google Scholar 

  6. Courouce AM, Pillonel J, Saura C. Screening for markers of infections transmitted by transfusions in the blood collected in France from 1996 to 1998. Transfus Clin Biol 2000; 7: 153-170.

    PubMed  Google Scholar 

  7. Forgie MA, Wells PS, Laupacis A, Fergusson D. Preoperative autologous donation decreases allogeneic transfusion but increases exposure to all red blood cell transfusion: Results of a meta-analysis. International Study of Perioperative Transfusion (ISPOT) investigators. Arch Intern Med 1998; 158: 610-616.

    PubMed  Google Scholar 

  8. Wallace EL, Churchill WH, Surgenor DM, Cho GS, McGurk S. Collection and transfusion of blood components in the United States, 1994. Transfusion 1998; 38: 625-636.

    PubMed  Google Scholar 

  9. Hasley PB, Lave JR, Hanusa BH, et al. Variation in the use of red blood cell transfusions: A study of four common medical and surgical conditions. Med Care 1995; 33: 1145-1160.

    PubMed  Google Scholar 

  10. The Sanguis Study Group. Use of blood products for elective surgery in 43 European hospitals. Trans Med 1994; 4: 251-268.

    Google Scholar 

  11. Mathoulin-Pélissier S, Salmi LR, Verret C, Demoures B. Blood transfusion in a random sample of hospitals in France. Transfusion 2000; 40: 1140-1146.

    PubMed  Google Scholar 

  12. Microsoft Corporation. Microsoft Access 97 [computer program], 1997.

  13. Rothman KJ, Greenland S. Modern epidemiology, 2nd edn. Philadelphia: Lippincott-Raven, 1998.

    Google Scholar 

  14. Hosmer DW, Lemeshow S. Applied logistic regression. New York: John Wiley and Sons, 1989.

    Google Scholar 

  15. StataCorp. Stata Statistical Software: Release 6.0 [computer program]. College station, TX: Stata Corporation, 1999.

    Google Scholar 

  16. Segal JB, Guallar E, Powe NR. Autologous blood transfusion in the United States: Clinical and nonclinical determinants of use. Transfusion 2001; 41: 1539-1547.

    PubMed  Google Scholar 

  17. Feagan BG, Wong CJ, Johnston WC, et al. Transfusion practices for elective orthopedic surgery. Can Med Assoc J 2002; 166: 310-314.

    Google Scholar 

  18. Borghi B and van Oven A. Reducing the risk of allogeneic blood transfusion. Can Med Assoc J 2002; 166: 332-334.

    Google Scholar 

  19. Karkouti K, Cohen MM, McCluskey SA, Sher GD. A multivariable model for predicting the need for blood transfusion in patients undergoing first-time elective coronary bypass graft surgery. Transfusion 2001; 41: 1193-1203.

    Google Scholar 

  20. Mathoulin-Pélissier S, Vicariot M, Courtois F, et al. Faisabilitéd'un suivi de patients transfusés. Transfus Clin Biol 1998; 5: 266-274.

    PubMed  Google Scholar 

  21. Dupuis JY, Bart B, Bryson G, Robblee J. Transfusion practices among patients who did and did not predonate autologous blood before elective cardiac surgery. Can Med Assoc J 1999; 160: 997-1002.

    Google Scholar 

  22. Huet C, Salmi LR, Fergusson D, Koopman-van Gemert AW, Rubens F, Laupacis A. A meta-analysis of the effectiveness of cell salvage to minimize perioperative allogeneic blood transfusion in cardiac and orthopedic surgery. International Study of Perioperative Transfusion (ISPOT) Investigators. Anesth Analg 1999; 89: 861-869.

    PubMed  Google Scholar 

  23. Faught C, Wells PS, Fergusson D, Laupacis A. Adverse effects of methods for minimizing perioperative allogeneic transfusion: a critical review of the literature. Transfus Med Rev 1998; 12: 206-225.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Institut Bergonié, Centre régional de lutte contre le cancer, 229 Cours de l'Argonne, 33076 Bordeaux cedex, France; Phone:

    Simone Mathoulin-Pélissier

  2. IFR 99 and Institute of Public Health, Epidemiology, Development, Bordeaux, France

    Louis Rachid Salmi & Charlotte Huët

Authors
  1. Simone Mathoulin-Pélissier
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  2. Louis Rachid Salmi
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  3. Charlotte Huët
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Mathoulin-Pélissier, S., Salmi, L.R. & Huët, C. Determinants of Allogeneic Transfusion Among Patients Who had an Autologous Blood Procedure, France. Eur J Epidemiol 19, 329–333 (2004). https://doi.org/10.1023/B:EJEP.0000024694.05415.f3

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  • DOI: https://doi.org/10.1023/B:EJEP.0000024694.05415.f3

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